Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.18 / $131.83	Facility		$15.85	$28.18	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $24.55	Professional		$10.00	$15.14	$24.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $147.91 / $173.78	Facility		$47.86	$147.91	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $85.11	Facility		$18.20	$40.74	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $26.92	Professional		$9.77	$14.13	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.71 / $10.96	Professional		$7.41	$8.71	$10.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $10,471.29 / $25,703.96	Facility		$18.62	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $16.22	Professional		$9.77	$12.02	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.62 / $38.02	Facility		$8.71	$18.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.22 / $19.05	Professional		$7.41	$11.22	$19.05